ND · Healthcare shortage profile
Pembina County, ND
Designation volume is the standout signal for Pembina County: 8 active HPSA records, above 73% of real US counties. Population 6,844.
- Active HPSAs
- 8
- Population
- 6,844
- Peak shortage score
- 16.0
- MUA Index
- 50.3
Heavy-burden verdict
According to current HRSA Data Warehouse records, Pembina County carries a heavier shortage burden than most US counties - 8 active HPSA designations, more than 73% of the 3,289 real US counties, with primary care the deepest gap.
- 8
- Active HPSA designations
- 3
- Primary-care shortages
- 16
- Peak severity score (of 26)
- Top 27%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Pembina County, ND on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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Closing Pembina County's active designations would take about 0.7 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.3 primary care, 0.4 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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37.5% of Pembina County's 8 active designations are primary care.
Discipline mix from designated HPSA records only: 3 primary care, 3 mental health, 2 dental (denominator 8).
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Peak HPSA score 16.0 sits below HRSA's 17-point high-priority line.
Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.
Pembina County's mid-pack ZIP footprint
14 Census ZCTAs intersect Pembina County, between the 9 and 15 ZIP cuts across published counties: neither a postage-stamp footprint nor a metro-scale lattice.
Largest land-share ZCTAs
6 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Pembina County carries 8 active designations, above 73% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.
State peer position. Pembina County falls in the upper quarter of ND counties by active-designation volume, at rank 9 of 53. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 38067. Population: 6,844.
Below high-priority line
Pembina County is designated, but no active score clears 17
8 active designations sit on this FIPS (3 primary care, 3 mental health, 2 dental), and the peak severity is 16.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 8 active (designated) HPSAs in Pembina County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Clinicare | primary_care | 16.0 |
| Walhalla Clinic | primary_care | 16.0 |
| Pembina County | mental_health | 15.0 |
| Clinicare | mental_health | 14.0 |
| Walhalla Clinic | mental_health | 12.0 |
| Pembina County | primary_care | 11.0 |
| Clinicare | dental | 9.0 |
| Walhalla Clinic | dental | 7.0 |
Heavy-burden reading for Pembina County
Designation volume is the standout signal for Pembina County: 8 active HPSA records, above 73% of real US counties. Primary care is where Pembina County is stretched thinnest: HRSA scores it 16.0 of 25, the county's highest severity reading and still short of the 17-point priority line, though the designation itself is formal. Mental health reads 15.0 of 25; Dental care reads 9.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 50.3, and the lower the index, the greater the measured need.
Volume places Pembina County above 73% of real US counties (8 active designations: 3 primary care, 3 mental health, 2 dental). Peak severity on the current designated set is 16.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Pembina County falls in the upper quarter of ND counties by active-designation volume, at rank 9 of 53. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Heavy-volume FTE gap in Pembina County
HRSA providers_needed summed once per HPSA id for Pembina County's active designations: about 0.7 FTE, a federal gap estimate, not a headcount of practising clinicians.
High-volume peers of Pembina County (8 active)
One peer set for this volume-led county: nearest active designation count to 8 across the national corpus.
Frequently Asked Questions
- Does Pembina County's MUA standing sit beside its HPSA records?
- Yes - Pembina County carries an MUA designation (index 50.3; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Pembina County's 8 active HPSA designations?
- 8 Designated rows (3 primary care, 3 mental health, 2 dental). Highest-scored name on this release: "CLINICARE" (score 16.0; primary care; 4,127 people in the service area; designated 12/16/2022). Also active: "WALHALLA CLINIC", "Pembina County", "CLINICARE". Above 73% of real US counties by volume.
- What does volume-plus-score look like for Pembina County?
- Peak active score 16.0 in primary care stays under the 17-point line while volume sits at 8 rows.
- What clinician need sits behind Pembina County's designation volume?
- Closing published gaps would take about 0.7 additional clinician FTEs (id-de-duped providers_needed). "CLINICARE" is the severity lead inside that inventory.
- Which federal programs follow Pembina County's designation volume?
- 8 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Pembina County's volume compare inside ND?
- 8 active HPSA rows · peak 16.0. Pembina County falls in the upper quarter of ND counties by active-designation volume, at rank 9 of 53. Score-nearest counties on this release include Dubuque County, IA and Dane County, WI.
Source: HRSA Data Warehouse. FIPS: 38067. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 38067 (Pembina County, ND), vintage 2026-08-15. Active designation count 8; peak score 16.0; signature 8 active designations. This profile is reference material, not professional advice; see methodology.